• Mohammad Al Saleh, Naser Alotaibi, Kelly Schrapp, Ahmad Alsaber, Jiazhu Pan, Farah Almutairi, Mohammed Abdullah, Wael Aboelhassan, Noor AlNasrallah, Bader Al-Bader, Haya Malhas, Maryam Ramadhan, Mahdy Hamza, Hassan Abdelnaby, and Moudhi Alroomi.
• Department of Medicine, Farwaniya Hospital, Farwaniya, Kuwait.
• Med Princ Pract. 2022 Jan 1; 31 (2): 180-186.

ObjectivesTo describe the baseline characteristics and to evaluate the risk factors for in-hospital mortality in patients admitted to hospitals with coronavirus disease (COVID-19) in Kuwait.Subjects And MethodsThis retrospective cohort study analyzed data of patients admitted to two hospitals in Kuwait with COVID-19. The outcome was assessed by using multivariable analysis of factors affecting survival and mortality.ResultsIn 962 patients, the case fatality ratio was 9.04%. The mean age of nonsurvivors was 63.5 ± 14.8 years, and most deaths occurred in males (80.5%). For the whole sample, the source of transmission was significantly related to mortality and the median duration of in-hospital stay was 15 days (interquartile range: 2-52 days). In patients with high oxygen requirements, the case fatality rate was 96.6%. Multivariable analysis identified age, hypertension, cardiovascular disease (CVD), and dyspnea on presentation as independent risk factors for COVID-19 mortality.ConclusionsThe mortality rate was higher in older patients with comorbidities such as hypertension and CVD. Early recognition of high-risk patients may help to improve care and reduce mortality.© 2022 The Author(s). Published by S. Karger AG, Basel.

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